Organization
CREATIVE PSYCHOTHERAPY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOLYNNE REYNOLDS PH.D. (OWNER)
(303) 875-9605
Entity
Organization
Contact information
Practice address
5105 W 128TH PL, BROOMFIELD, CO 80020-5739
(303) 875-9605
Mailing address
5105 W 128TH PL, BROOMFIELD, CO 80020-5739
(303) 875-9605
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5710
CO
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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